have ever tried to treat fistula in ano with active tuberculosis?though it is contra indicated to do so.if the patient is responding to the ATT.u can apply copper wire as an alternative to kshar sutra in those patients. i have tried and succeeded to some extent.The advantage of it is, you do not have to change every week (twisting the ends and cutting the extra wire. thats it)and local irritation is very less.(refer charak samhita (chikitsa sthan)raja yakshama chapter. in that he mentioned some metals have the ability to control the disease locally as well as systemically. copper is one of them .thank you .....
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http://ayurvedaconsultants.com/caseshow.aspx?ivalue=engoogle1607
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